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set in paragraph A to the extent necessary to bring | the program within the program budget. |
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| (3)__If program expenditures are reasonably | anticipated by the commissioner to fall below the | program budget, the commissioner shall raise the | maximum eligibility level set in paragraph A to the | extent necessary to provide coverage to as many | persons as possible within the fiscal constraints of | the program budget. |
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| (4) The commissioner shall give at least 30 days' | notice of the proposed change in maximum eligibility | level to the joint standing committee of the | Legislature having jurisdiction over appropriations | and financial affairs and the joint standing | committee of the Legislature having jurisdiction over | health and human services matters. |
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| C.__Subject to the other requirements in this subsection, | a person who is resident in the State is eligible for the | program unless that person: |
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| (1)__Is eligible for coverage under the MaineCare | program; |
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| (2)__Is covered under a group health insurance plan | or under health insurance, as defined in Section 2791 | of the federal Public Health Service Act, 42 United | States Code, Section 300gg(c) (Supp. 1997); or |
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| (3)__Is eligible under Title 5, section 285 for | health coverage under the state employee health | insurance program as an individual or as a member of | a family. |
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| D.__Notwithstanding changes in the maximum eligibility | level determined under paragraphs A and B, the following | requirements apply to enrollment and eligibility: |
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| (1)__A program participant must be enrolled for a 12- | month enrollment period. Prior to the end of each 12- | month enrollment period the department shall | redetermine eligibility for continuing coverage; and |
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| (2) Persons of higher family income may not be covered unless | persons of lower family income are also covered.__This | subparagraph may not be applied to disqualify a person during | the 12-month enrollment period.__A person of higher family | income may be disqualified at the end of the 12-month | enrollment |
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